State of Oklahoma

NPI #1366689713 in Tulsa, Oklahoma

Provider Information

NPI Number: 1366689713
Entity Type: Organization
Organization Name: State of Oklahoma
Primary Specialty: Counselor
Enumeration Date: Jan 7, 2009
Last Updated: Feb 1, 2011

Practice Location

Address: 2323 SOUTH HARVARD
City: Tulsa
State: Oklahoma
ZIP Code: 74114
Phone: (918) 293-2140

Authorized Official

Name: MR. JOSEPH EDWARD YOSTEN, LPC, LADC
Title: LICENSED PRACTICAL COUNSELOR
Phone: (918) 293-2140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Substance Abuse Rehabilitation Facility	324500000X
Counselor	101Y00000X	Primary

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